Individual
JACQUELINE YVONNE LAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
887 MAIN ST, DALLAS, OR 97338-3110
(503) 623-4440
Mailing address
887 MAIN ST, DALLAS, OR 97338-3110
(503) 623-4440
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
96006087RN
OR
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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